| NPI | 1316166531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD491841) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI LP00500) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2025-10-01 |